32A-204 �"I H
5V1c1 Q
l
(fit of NurUlUttmptnxt
*R,M a . srG:
I f +�tllttssttrlluselis * �,
` u "- DEPARTMENT OF BUILDING INSPECTIONS 0 i �a�
ft
\ \\---,-4r- 212 Main Street • Municipal Building 'PS'), . ar fri
Northampton, MA 01060
L I;as y pck Fax: 413 - 587 -1272 Chuck Miller
Building Commissioner Phone: 413 - 587 -1240 Assistant Commissioner
CONSTRUCTION CONTROL DOCUMENT
(For professional Engineers /Architects responsible for Entire Project)
Project Title: ` C7 t : t 4 1 D£& CC-Ai ilrila Li lik i t 1 Date: 1 - c'e l'i^ f Z._ 1
Project Location: Map: _ Parcel: Zone:
Scope of Project: � f'6-VlG1.:141 MM_'5 i Lid I € i At U iJj 1 I l \is P C. t ° A l'
In accordance with the sixth edition Massachusetts State Building Code, 780 CMR Section 116.0:
I, --.) o 2 IA 1\ `i - 0 IA Mass. Registration # 4- 9 1 r,
Being a registered professional Engineer /Architect hereby CERTIFIES that I have prepared or directly supervised
the preparation of all design plans, computations and specifications concerning:
,[ ENTIRE PROJECT
For the above named project and that to the best of my knowledge, such plans, computations and specifications
meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices
and all applicable Laws for the proposed project.
Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that
the above mentioned portions of the work proceed in accordance with the documents approved for the building
permit and shall be responsible for the following as specified in Section 116.2.2:
1. Review of shop drawings, samples and other submittals of the contractor as required by the
construction documents as submitted for the building permit, and approval for the conformance
to the design concept.
2. Review and approval of the quality control procedures for all code - required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with
the progress and quality of the work and to determine, in general, if the work is being performed
In a matter consistent with the construction documents.
I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent
comments. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory
completion and readiness of the project for occupancy.
Signature and Seal of Registered Professional (JOSEPHE. �P-\OF M A1MUA : �l PROF STRUCT V J Day of '"C- • 20 No. 40915 (seal) A9oF9FGIST���
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jti Completion Schedule (
) L / / ( Start Date
y .12 Completion Date
PI ICC and Payment Schedule c')
•
CJ upon Slglifig GoilLI (LAIL: ttiu
(Q CJJ due upon OU, ec.)mpietion 0 „
)00 (-:)<._--%
due-' upul I OuWpcOIi ui ouilLnio;
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k_unipica,ii anti :AL-.11.1 L•011iVly Watt tht.: JR.,11■1.111l 111 .
aaLwi, Wliployees or agen,:s 23 discovc within us R., (1) UIUil will Ui .11Iy
ILA n twat' lomudy, tepair, ccurect, repiace, of baLse to be LlIleUcU tJl1eU uf It 1 .) -(1
1 IC e10904119 W4lizult1*.)1 Shall Stir vive any Ll tJ1ll 11 UII. lZl1i WItI fle
EP IANCE OF PROPOSAL
oa-ua u...:nt and au...1.:pt Illy prie-os, spec:I:cal:01,i- 3110 1.31,012i31 12a 32311,0 01 1.1 i1111 1.. , 5,J •
J.51 t_t
3U1f1011-f_ed 20 do Ulu Work as spuofiud. Puyii1ei1t Vv11] bo ,,uou 33 3321, 130
DOLL!
— —
Northeastern Exterior Makeovers p
;
2 Klondike Ave. Westfield Ma. 01085
(413) 977-0009
u:;toiner name _6 re) l a 3 r-r)a r- z _ — (P s - iore )
1c1(..!e‘Ja ( 4 2 - - y PCA i - eer - r
=ity ri olpir / State 14,1 Phone number
VL; ,cr L:by submit specifications and estimates of won to be pet and :ilLterials to b LISea
0'1
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3 2
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.61) 1--y 0 - c l a 11_2_ t_ f"
S eCc)na, c 106 fl r k PO r
r S _f-1 $ ' a • • _ t o. _
, 20,61:k SL
IG cc. 1 f )00 r CeCt Olct.
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iq
1/11/ • - •
Arbella Protection
Insurance Company
R E E L LA 1100 Crown Colony Drive COMMERCIAL GENERAL L 1 AB I L I TY
7101* ,..M...« COMPANY Quincy, MA 02269 - 9174 NEW BUSINESS DECLARATIONS
DIRECT BILL - INSURED
PpLIGY td[ SFi1H�R?;:;; `-:.'>.>'': ::':;�;fiZlAf#EPL7LIGY'b1tiM8Qi : ;:< :., �DLIG1f P�#iiDD
tt3 07/08/20111 07/08/2012 12.01 AM ST�.NDARD TIME 2
NORTHEASTERN EXTERIOR MAKEOVERS WILLIAM J MIS INS AGCY
MICHAEL C FORRETT DBA 156 ELM ST
2 KLONDIKE AVE WESTFIELD, MA 01085
WESTFIELD, MA 01085
� 143
gNUAL PREMIUM: $1,092
ORM OF BUSINESS: INDIVIDUAL
USINESS DESCRIPTION: CARPENTRY
ESCRIBED PREMISES:
OCATION: 1
2 KLONDIKE AVE
WESTFIELD, MA 01085
OBJECT TO ALL THE TERMS OF THIS POLICY, INSURANCE IS PROVIDED AS SHOWN,
IMITS OF INSURANCE
ENERAL AGGREGATE L I M I T
(OTHER THAN PRODUCTS /COMPLETED OPERATIONS) $600,000
RODUCTS - COMPLETED OPERATIONS AGGREGATE LIM $600,000
ERSONAL & ADVERTISING INJURY LIMIT $300,000
ACH OCCURRENCE LIMIT $300,000
IRE DAMAGE LIMIT $100,000 PER FIRE
EDICAL EXPENSE LIMIT $5,000 PER PERSON
REMIUM
CLASSIFICATION CLASS PREM PREM/ PROD/
DC# BLDG# DESCRIPTION CODE BASIS ID OPS COMP OPS
1 1 Carpentry— Construction of R 91340 $28,600 (P) $928
1 1 Carpentry— Construction of R. 91340 $28,600 (P) $164
1 1 Contractors — Subcntrct work 91585 $0 (C) $0
1 1 Contractors — Subcontract —Con 91585 $0 (C) $0
D DEFINITION: (P) = Payroll Per $ 1,000
DEFINITION: (C) = Total Cost Per $1,000
JENCY AT WESTFIELD MA DATE 07/29/11
. t ry inr� i rn nni jai R'rnn 1 nkl A r1 Inr r) A %`C 1
Arbella Protection
Insurance Company
E L L11- 1100 Crown Colony Drive COMMERCIAL PACKAGE POLICY
"-- Quincy, MA 02269 -9174 NEW BUSINESS DECLARATIONS
DIRECT BILL - INSURED
f NUMBER Piilt)ft PDi ICY;ht21MBEEi::f,;:; ? ;. Pl PEA�OA
12031 07/08/20111 /2012 12:01 AM STANDARD TIME 2
$0 :RE
NORTHEASTERN EXTERIOR MAKEOVERS WILLIAM J MIS INS AGCY
MICHAEL C FORRETT DBA 156 ELM ST
2 KLONDIKE AVE WESTFIELD, MA 01085
WESTFIELD, MA 01085
143
.L PREMIUM: $1,117
OF BUSINESS: INDIVIDUAL
,LESS DESCRIPTION: CARPENTRY
SREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. I
POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS.
COVERAGES PREMIUM
ercial Property Coverage $25
ercial General Liability Coverage $1,092
TOTAL $1,117
S AND ENDORSEMENTS MADE PART OF THIS POLICY AT TIME OF ISSUE
AP1162 01 -08 IMPORTANT NOTICE - OFFER OF TERRORISM
AP1001 01 -96 COMMERCIAL POLICY JACKET
AP1001 10 -09 MAIN SAIL PROPERTY COVERAGE ENDORSEMENT
0090 07 -88 COMMERCIAL PROPERTY CONDITIONS
0109 10 -00 MA CHANGES
0176 09 -06 MA EXCL VIRUS BACTERIA
P006 09 -06 MA EXCL VIRUS OR BACTERIA PHN
0017 11 -98 COMMON POLICY CONDITIONS
AP1093 02 -02 ASBESTOS EXCLUSION
0062 12 -02 WAR EXCLUSION
0063 12 -02 WAR EXCLUSION
2149 09 -99 TOTAL POLLUTION EXCLUSION ENDORSEMENT
2196 03 -05 SILICA OR SILICA - RELATED DUST EXCLUSION
2426 07 -04 AMENDMENT OF INSURED CONTRACT DEFINITION
3370 03 -05 SILICA OR SILICA- RELATED DUST EXCLUSION
0021 04-98 NUCLEAR ENERGY LIABILITY EXCLUSION fI
AT 'WESTFIELD MA DATE 07/29/11
AUTHORIZE MUNTERSIGNAYJnr PAGE 1
In 8/93 Insured (175 ' -
.r.aa�.�Jl.a,-a4•La�u 11 �IJ ,v,1,�L 1.t ['O«;. .. .. 5 7T5/ ,
HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
ERT'LFICA FE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDEI) BY THE POLICIES
ELO W. 1'1115 CERTIFICATE OF INSURANCE DOES NOT CONS II I Ult.. A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTI(ORIZED
EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
APORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the
orris and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
ertilicate holder in lieu of such endorsement(s).
RODUCER CONTACT
VILL,IAIv1 1 MIS AGENCY NAME:
PHONE FAX
5c I:LM SI' (A/C, No, Ext): (A/C_ No) _
VESi'FIE.,D, MA 01085 E —
ADDRESS.
PRODUCER
CUSTOMER ID S.
1SURED INSURER(S) AFFORDING COVERAGE NAIC r;
'ORRET1, MICHAEL & BELDEN, INSURER A THE. TRAVELERS INDEMNTTY
:ON ALD DBA NORTHEASTERN COMPANY
:XTCRIOR MAKEOVERS - -
INSURER B — _ — -
KLONDIKE AVE --
VESTFIELD, MA 01085 INSURER C
INSURER D
INSURER E
INSURER F -- -- ----- - - - - -�
:OVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TIIE INSURED NAMED ABOVE FOR THE POLICY PERIOD IM)1C.A TED
Ian, r121s`i'ANDLNO ANY RE(jUIRFMENI, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT ?,T1 - I1 RESPECT TO WHICH THIS CERTIFICATE MA 1' BE
SS LIED OR MAY PERTAIN, TIME. INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 1HE TEILIMS. X CLUSIO NS AND CONDITIONS OE 5; lit'9(
OLO 155. LUMIES SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ---- — _— -- _ —_- --
V5R TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS —_ - - -- I
.TR INSR ,WVD (IAM/DD/YYYY) (MMIDD/Y)'1'Y)
-- -_ GENERAL I IABILITY EA — --- - ----- '- -_.__ _. -
CH EiCC1T.I:ENCE 1
L O IMMERCIAL GENERAL UABSTT DAMAGE TE EPTT
F'}(L (Ea ?iCUrrencz
[ CLAIt.L'3 MADE OCCUR Id Eff EKEI
0
—
I
UEN L AGGREGATE LIL.TT APPLIES PER. _ --
i PRODUC S- CoNTP'OP I
LI I OLUCY LI PROJECT 0 LOC
--- -_ AUTOMOBILE LIABILITY .:, MEINEL, SINGLE
LI1.0 T
,Fa aceld•Li
U API At1T0 , l;'!t , IL" 111J L 1'
'.1 -er Pnsori, 11
D LL OW @TED AUTOS fNT I
.1- er Aceldent l __
SCRFZULEU AUTOS
■ PROPERTY DAMAGE I
Ter aceKletti
LI HIRED AUTOS - Y - - -- --�
L NON- OWNED AUTOS I
_ 1 S
C7 UMBRELLA LTAB 17 OCCUR ��' -'� r :CAF LN :L
Y. :ESS I.:P13 I✓j,DE ; ;N:: - f:,TT _ --
0 DEDUCTIBLE
(1
RETENTION I
W URKERS' COMPENSATION _.I
A AND EMPLOYERS LIABILITY ..i,.,. LIMIT
Y/C! ',Jr krUYRISIUR/PAR'I Nk10 l
EXECUTIVE OFFICER/MEMBEP. c t F i I . • I I 11 BB nu(;
N/A • 6S 4654P95 05/17/11 05/17 ;1_
EX :LIME Y?
(rviAf{DAI IN NIi) I: i. I. ISEAP- 1
11 ys, descnbe,rrder DESCRIPTION OF } Lv1::FpS'L r 1 1 'i
C Pr'RATIONS below [ .!� T 010(1, (Il111
LSCHB'TION OF OPERATIONS/LOCATIONS /VEHICLES (Attach AAORD 101, Addrhonal Rernarxa Schedule, if mare space ,s regwre)
THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO TILE CERTIFICATE HOLDER AFFECTING WORKERS COMB' COVERAGE
EIi I IF IS +�T1DL Et S:' —
,;. CANCELL` ATIDN"
DRTHEASTERN EXTERIOR MAKEOVERS
KLON D I KE AVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
1 I FI1 0I), MA 01085 THE EXPIRATION DATE THEREOF, BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS. NOTICE WILL _ --
AUIHDIU7FD REPH SFNTATIVE
h.ondciJoirur
COi .D 2 (2009/09) . 0'1988 -2009 A('ORD (OF PORATION -. Ail ri Art .. ser,'eel
Versionl.7 Commercial Building Permit May 15, 2000
SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes , 7 No 0
SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1 (; L 7e - SNtpt-2 Z.- as Owner of the subject property
hereby authorize iVN ac N to
act on my behal all m rs relative to work authorized by this building permit application. ' J
/ l(
Si nature of 0 er Date
as Owner /Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Print Name
Signature of Owner /Agent Date
SECTION 12 - CONSTRUCTION SERVICES
10.1 Licensed Construct' / 0 C� Suervis J/^,� : Not Applicable ❑
t/
Name of License Holder : - V . `+-r' .`116 - Hl
4
W e5 Sr Mu 0 ! 6 License //,'. Number %
Address Expiration Date
Signature Telephone ' `/ , fit
SECTION 13 - WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes No 0
Version1.7 Commercial Building Permit May 15, 2000
SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE)
9.1 Registered ,AJchitaqt: 1 a I. C t f.4 (Z E-t) 44 f 4t.f --
��..,� Applicable ❑
j DS c--; 1'4 R --t-- 11/t f,i NotA pp i
Name (Registrant):
f 7 - s� A r� Jl A - 1 y _ l Registration Number
Address l � ., , o� ►"
t '��`1 9 x.3 )04 Expiration Date
Signature Telephone
9.2 Registered + Professional Engineer(s):
13513( 1- A
Name Area of Responsibility
Address Registration Number
Signature ' Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
Versionl .7 Commercial Building Permit May 15, 2000
SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations ❑ Existing Wall Signs ❑ Demolition ❑ Repairs Additions ❑ Accessory Building ❑
Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing Change of Use ❑ Other ❑
Brief Description Enter a brief descrt lion here. JJ p-
Of Proposed Work: a-.:, 4, J l orrs. ( ti ,-( 5 c,, f ,1 1 c „ 5
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑
A -4 ❑ A -5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B 1 ❑
F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
1 Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 1 5A ❑
S Storage ❑ S -1 ❑ S-2 ❑ _ 5B I ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE
Existing Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor (sf)
1 5c 1
2” d
2
3`d 3d
4 m
4
Total Area (sf) Total Proposed New Construction (sf)
Total Height (ft)
Total Height ft
7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system
RECEIVED
• 1 Versionl.7 Commercial Building Permit May 15, 2000
2 011 Department use only
DEC 2 7 City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit -
pEPT. BUILDING INSPECTIONS 212 Main Street Sewer /Septic Availability
NORTHAMPTON, MAO1060 Room 100
Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413 587 - 1240 Fax 413 - 587 - 1272 Plot/Site Plans
Other, Specify
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Property Address: This section to be completed by office
/2. -44 a.urt. )t P c/i c Map Lot Unit
Zone Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
Gcort GC � AAAr lrt � 2, At2rft% f f% cz-v M4
Name (Print) / Current Mailing Address:
( f � Sz, - g yl/
Signature I� 410 - Telephone
2.2 Authorized Agen •
Name (Print) Current Mailing Address:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building r (\ Is ' (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) e }
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signat ` l () 77
. - ' omnissiefier aspector of Buildings Date
•
File # BP- 2012 -0395
APPLICANT /CONTACT PERSON RONALD BELDEN
ADDRESS/PHONE 43 MORTON ST WEST SPRINGFIELD (413) 736 -6714
PROPERTY LOCATION 42 BUTLER PL
MAP 32A PARCEL 204 001 ZONE URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out /` `�
Fee Paid 1/
Tvpeof Construction: REBUILD FRONT PORCH (SAME FOOTPRINT)
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 11568
3 sets of Plans / Plot Plan
THE FO WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF TION PRESENTED:
Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND /OR Special Permit With Site Plan
Major Project: Site Plan AND /OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission _ Permit DPW Storm Water Management
00 i:'? ? -'
Si_ • e of Buf�dinOfficial Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health, Conservation Commission, Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning & Development for more information.
42 BUTLER PL BP- 2012 -0395
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A - 204 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit # BP- 2012 -0395
Project # JS- 2012- 000630
Est. Cost: $9200.00
Fee: $60.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RONALD BELDEN 11568
Lot Size(sq ft.): 10062.36 Owner: SMARZ GEORGE A JR
Zoning: URC(100)/ Applicant: RONALD BELDEN
AT: 42 BUTLER PL
Applicant Address: Phone: Insurance:
43 MORTON ST (413) 736 -6714 WC
WEST SPRINGFIELDMA01089 ISSUED ON:12/27/2011 0:00:00
TO PERFORM THE FOLLOWING WORK: REBUILD FRONT PORCH (SAME FOOTPRINT)
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House # Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 12/27/2011 0:00:00 $60.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner